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• NEON MEAN <br />8ERVICES35066 <br />1.DEMIDIO MMAIE (MAL Milli.. L.* sum) <br />Anrdtati ,Key Frew <br />Lilk - <br />Female <br />S.OATS OFpe IN01a,ory)Y(r,) . <br />March 18, 2013 <br />L cm AND STAYS OR minnow, OR ►OISSON COUNTRY OP me m <br />AL AGMLast Ridliday <br />lb. UNDINI 1 WAR <br />I.. *1W 1 DAY <br />IL DMZ OF NINTH pis, ow. Yr.) <br />Lexington, Nebraska <br />rfra) <br />81 <br />MOIL <br />DAYS <br />HOURS <br />MO <br />May 12,1961 <br />7. SOCIAL 'SCUMMY NUMBER <br />606 1342 <br />Oa PLACE OF DEATH <br />mama <br />lb. .ADurwNAa.IMnot rr.radr., <br />L0IMdrSNaWTc 0NNi1 s.PUU' . <br />give .barlanti number) <br />Nebraska Medical Center <br />❑EllorrM.ruM ODar.MrdrtNorm ry <br />0 --- Dirt Q 2 6 U <br />M. CRY OR TOMB OF LOATH Mobd.ML Cod.) <br />Omaha 88198 <br />IId. OOUNTYOF (MATH <br />Douglas <br />as Rlrp110EMTA1E <br />Nebraska <br />lb. COUNTY <br />Hall <br />Do. CRY OR TOMB <br />Grand bland <br />M.SMOOTMOmoot <br />4028 Greenwood Drive <br />So. AFT. NO. <br />St. TOcoo <br />88803 <br />so. smolt MVL.MTs' <br />®YY. 0 MO <br />On. M�ARTALMMUSATTMOPDRAM ®eanrd DN.gr <br />us. MASS OP spouus. 11110111. LBO SMEgSulk <br />0 e. I.4 b.......I.d ° YRdoa.d <br />OMB AMMO nmal. <br />❑ Mr.l..d ° uo moloo <br />R <br />Richard Kent Frew <br />11. PATIMININIAMB SIB. BM.. Lot. I MMO <br />12. NOMERI IAIONFII.L. Mde.. Maki.. ea...a► <br />Densmore Nelson <br />Ruth Paulsen <br />m <br />17. EVER OWL AIMED MRCSS,ON.Aim awigs Wean. <br />144INF0 <br />IY•..w,.rlbry No <br />e*NT.W1SS <br />RldlaN Kent Frew <br />1/Y.IMIATIDNMOTODaOED/OMT <br />Spouse <br />1S. METHOD OFDisposmM <br />OPaEMSALLEROStIATURE <br />1a1.UCRIIR'.. <br />INnold Osman <br />NO. <br />MO. MATEp..,Der.Yr.) <br />°.r.rr1.. <br />(AVM <br />/343 <br />March 23, 2013 <br />OPr...para <br />Dra.ar <br />101. CEMETERY. @MINATORY' OR OWN LOCATION 0717TOWN <br />°�.Mwr!N <br />MATE <br />Prairie Home Cemetery Holdnpe Nebraska . <br />1TS.FlNSR LNOMENAMEALDMALING4011IrS(tech,@ pwho...Sl r) <br />Nelson -Bauer Funeral Home, 401 Millington St, Holdrege, Nebraska <br />w.bpOMR <br />88949 <br />` To Els CampNt,d bY: ; <br />CAUSE OF DEATH (See Instructions and examples) <br />u...ar sure;. ff.�M.r./rti M.M..R. ..d..rMiOur♦..r.r allit NOT«I...d.I.....Ibi_.M4..... _ FOOM <br />.olrrrr.�..L.w..i.iirilir...r.i.A...q...doDNDYA�N.7LM.My...a�....M.AN.�.,.MY.. A�FMONaAi[w.p...a <br />r....�N <br />ea111MAIE <br />MSS <br />11011110MTe CAUSE Mal AWdG L glue, <br />MONO <br />am* t. * AY <br />DIM70,ORANAQDMRMEMCEOR .ilv� <br />aMrawaErEMatlro...r I9 <br />a..MM1.SbSao N !� c/L Wri CL�CId <br />'.`• t_e <br />ti ;�( <br />1 <br />I91L, _ 2 _) <br />�Ltl \H6{M <br />gYeguot (u G.A.. <br />most ladeath <br />IMa...ft maimi.MiLa °U07d.011ASA,OCINaamIMEOFT. <br />LAST <br />w <br />fleas tl•dr.0 <br />itPAWL OME RSISLE}ICANT CONOM011114andleans a./YSt�.MgtoSo* <br />pb.L.rn*ism ryMMalb4bl..MMybMIMMRWL <br />ELMO <br />01 11111 <br />(/K� � 1 YfE G 7 [' 4/ <br />O <br />-1N/.Fmum <br />OaSSSCFIMAM <br />Mrb•I 101 TRAlaPORTATNNi1EMY' <br />*la VIM WOW ..4 <br />ragas* wain past pear <br />t�ommuoMd..ardrrer <br />p�bral ❑NadMM <br />DA.pd..e 0►arwr•+_MP+a• <br />DwlmMpa.M.r <br />• <br />°� $� <br />Caw.milrd,art PIM10tUIRlsMays ardmit <br />❑Odd& ❑Cmddnalb.dlaldr..d.d <br />DAP► <br />M1LVEIBAYTOPeY1'l IMAIMEAeIa <br />DN katpe.Mlt43 <br />0..by. <br />T+D oDeFLaa DAIaa or aE►TNT <br />.0 dip t.Iveer aMM= <br />DIAMaw.r.rgtratwaft NpMymr <br />00S,.r�,..� <br />° yes °� <br />M i.=ROWILLIRYMo.Dar.Yra <br />Nib. 71eEOPINJURY <br />Ma. FLAME OP1.MNYY,MWm. b.aabWRi.a.6sew MOO. s._ntallonmv.isi.IMAM <br />m <br />MMMMOATWORK? <br />D.YEb 0Na <br />MMaDaNN=NOW KOURYOCCUOl9 <br />ZIGLOCA7IDNOFINJURY .MIR&NIMMI.APT. NO. QTYROIMI STATE M IMS <br />a <br />MaaOAIEaFt1010ATNpiw.O.P. rta <br />05.7. 1i , 3013 <br />a <br />ILL ATS$SI E(aa.D4rYl:) <br />J <br />Nst.Ter5Cr055TLt <br />m <br />Mr. DAM MIBLIDgMa,q.E7ra <br />iOl� <br />mumcrownMiLPIRo1LOIE1clodlaoNa.ou,.Yrj <br />40.og Qm <br />IAt77MPRONOU pDEAD <br />M <br />Vol Teas boat ofgrla.rrUdNd..MwamMalgod <br />tt <br />. dale and plate <br />addwMM.aaw(y and i{ <br />F +,t E a) <br />• <br />Ms. MrM earas,MwNQMMrd.yra.a n* <br />reMM..dM.tRdiMMrIMMNM.ewyq.Ml.L erfbj.aaridyle.�. <br />maASpROA1MOR <br />* f b -H io! <br />era <br />MOUE DO ATIONEM1IOO,___ <br />0 <br />MUMS UMR SODNeEerdIIMIUDY <br />Not APMMONRaab NO ° "OI. POO <br />�+t z' .+4ry NNlG Orvrri,� GYtit-raga <br />z� Qr . ; j )N rl4;r: �1.MrI� <br />11.DA7EFLMaY1MeB/MR11e�a.�D�.VP.) <br />60 <br />py of an original record on file with Vital Statistics, Dom. <br />ertified copies must have a raised seal in the area to the left. <br />are not legal copies. <br />Date Iss , AR 2 2.2013 Registrar: <br />690 <br />